Trial document





This trial has been registered retrospectively.
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  DRKS00025915

Trial Description

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Title

Participatory development and evaluation of a multimodal concept for violence prevention in nursing homes

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Trial Acronym

PEKo 1.0

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URL of the Trial

https://peko-gegen-gewalt.de/

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Brief Summary in Lay Language

In the project, individual violence prevention concepts and action guidelines are developed, which are then transferred into practice and tested for their effectiveness. The special feature of the project is that all measures are developed in close cooperation with the employees of the participating inpatient long-term care facilities, so that tailor-made and facility-specific concepts and measures are created. Working meetings are held monthly at the facilities.
As part of the prevention program, caregivers are to be sensitized to the topic, measures are to be developed jointly, and these measures are to be implemented as sustainably as possible in the structure of the facility. The basic principles of transparency, participation, a systematic approach and sustainability are decisive for the project.
One of the fields of action explicitly identified in the "Guidelines for Prevention in Inpatient Care" of the GKV-Spitzenverband is the prevention of violence in care. To date, however, there is no reliable evidence of the effectiveness of such prevention programs.
The aim of the project is therefore to sustainably reduce all forms of violence in all directions and at all levels by raising the awareness and actionability of nursing and care staff. Through the active participation of the employees, a sustainable effect of the developed measures is expected, which will be scientifically evaluated.

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Brief Summary in Scientific Language

Summary
Violence towards persons in need of care, but also towards caregivers, is reported for inpatient care facilities. With the project PEKo-Participative Development and Evaluation of a multimodal concept for violence prevention in nursing homes, employees in care homes are sensitised to the topic of violence prevention. Using a participatory approach, interventions to prevent violence are developed, implemented, and scientifically evaluated.

Background
Violence against older people is defined by the WHO as a single or repeated act, but also an omission of required actions, which can lead to harm or suffering for the persons affected. Different perceptions of violence and the taboo status of the topic lead to the conclusion that the number of unreported incidents of violence is high. The promotion of violence prevention in care facilities is one of the focal points of the prevention services of the long-term care insurance funds. In this context, proposals for improving the health situation are to be developed and implemented with the participation of the persons in need of care and the facilities.

Objective
The aim of the PEKo project is to develop a sustainable violence prevention concept in the participating facilities. The guiding principles are transparency and participation, a systematic approach and sustainable integration into the structures of the facilities.

Intervention
Kick-off events in the participating facilities
Appointment of a PEKo representative per participating facility.
Formation of a PEKo team within each facility
Formation of a cross-institutional PEKo circle
Structured survey of staff as baseline, interim and final survey
Conduct monthly PEKo meetings in the facilities
Conduct quarterly, cross-facility PEKo circles
Developing, evaluating, and adapting facility-specific interventions and guidelines for action
Develop a culture of solution-oriented processing of reported incidents of violence in the facilities.
Developing and applying a facility-specific training concept
Counselling offered by project staff to PEKo representatives and PEKo teams.
Evaluation

Data sources of the scientific evaluation are:
Data from the standardised surveys at the time points T0, T1 and T2.

Documentation of incidents of violence
Observation and reminder protocols of the PEKo meetings and PEKo circles.
Data from structured surveys on residents' quality of life
Focus group interviews with residents (alternatively residents' representatives), relatives and staff on the culture of violence in the facilities
Focus group interviews on process evaluation with PEKo representatives, staff in the PEKo teams and senior staff.

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Do you plan to share individual participant data with other researchers?

No

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Description IPD sharing plan:

[---]*

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Organizational Data

  •   DRKS00025915
  •   2021/11/12
  •   [---]*
  •   yes
  •   Approved
  •   18-244, Ethik-Kommission Universität zu Lübeck Medizinische Fakultät des Universitätsklinikums Schleswig-Holstein
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   Violence prevention, Health promotion, Occupational safety
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Interventions/Observational Groups

  •   participatory development and implementation of needs-oriented, setting- and target group-specific violence prevention measures
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Characteristics

  •   Interventional
  •   [---]*
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Prevention
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

Prevalence of violence

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Secondary Outcome

Job satisfaction and psychological stress related to incidents of violence in nursing care

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • other 
  • other 
  • other 
  • other 
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Recruitment

  •   Actual
  •   2018/10/01
  •   53
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

Only inpatient long-term care facilities within the scope of Social Code XI will be included in the project. In selecting the facilities, the greatest possible variance will be achieved in terms of size, regional location and sponsorship.

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Exclusion Criteria

Facilities with other areas of expertise or whose funding falls within the scope of other service providers and facilities in which other projects in other fields of action of the "Guidelines for Prevention in Inpatient Care" of the GKV-Spitzenverband are already underway are excluded.

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Addresses

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    • Universität KölnMedizinische FakultätInstitut für Pflegewissenschaft
    • Mr.  Prof. Dr.  Sascha  Köpke 
    • Gleueler Straße 176-178
    • 50935  Köln
    • Germany
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    • Martin-Luther-Universität Halle-Wittenberg Medizinische Fakultät Institut für Gesundheits- und Pflegewissenschaft
    • Ms.  Prof. Dr.  Gabriele  Meyer 
    • Magdeburger Str. 8
    • 06112  Halle (Saale)
    • Germany
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    • Hochschule FuldaPublic Health Zentrum Fulda
    • Ms.  Prof. Dr.  Henny Annette  Grewe 
    • Leipziger Str. 123
    • 36037  Fulda
    • Germany
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    • Universität zu LübeckInstitut für Sozialmedizin und Epidemiologie Sektion für Forschung und Lehre in der Pflege
    • Ms.  Prof. Dr.  Katrin  Balzer 
    • Ratzeburger Allee 160
    • 23562  Lübeck
    • Germany
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    • Martin-Luther-Universität Halle-WittenbergMedizinische FakultätInstitut für Gesundheits- und Pflegewissenschaft
    • Ms.  Natalie  Nguyen 
    • Magdeburger Straße 8
    • 06112  Halle (Saale)
    • Germany
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    • Hochschule FuldaPublic Health Zentrum Fulda
    • Ms.  Stefanie  Freytag 
    • Leipziger Straße 123
    • 36037  Fulda
    • Germany
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    • Universität zu LübeckInstitut für Sozialmedizin und EpidemiologieSektion für Forschung und Lehre in der Pflege
    • Ms.  Anna  Dammermann 
    • Ratzeburger Allee 160
    • 23562  Lübeck
    • Germany
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  • start of 1:1-Block address scientific-contact
    • Universität KölnMedizinische FakultätInstitut für Pflegewissenschaft
    • Mr.  Marco  Sander 
    • Gleueler Str. 176-178
    • 50935  Köln
    • Germany
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    end of 1:1-Block address contact scientific-contact
  • start of 1:1-Block address public-contact
    • Universität KölnMedizinische FakultätInstitut für Pflegewissenschaft
    • Mr.  Marco  Sander 
    • Gleueler Str. 176-178
    • 50935  Köln
    • Germany
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Sources of Monetary or Material Support

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    • Techniker Krankenkasse
    • Bramfelder Str. 140
    • 22305  Hamburg
    • Germany
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Status

  •   Recruiting complete, follow-up complete
  •   [---]*
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  •   2021/08/31
  •   53
  •   53
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.